Occupancy rate
34%
In line with Missouri averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Livingston Manor Care Center
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Livingston Manor Care Center
Livingston Manor Care Center is a skilled nursing facility located in Chillicothe, MO. It offers nursing services, rehabilitation, and specialized care for dementia patients. The center provides a home-like atmosphere with a focus on enhancing health and quality of life.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
94
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
34.3%
Residents per day (avg)
38
Occupancy rate
34.3%
Residents per day (avg)
38
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
58% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
25% of new residents, often for short stays.
Typical stay
1 years
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
3 - 4 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$2.7M
Operating loss
-$537.4K
Privately-owned community
Operated by a business corporation.
Home revenue
$2.7M
Operating loss
-$537.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.2M
94-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
32 / 94
Average residents
72 per day
Facility TypeSnf
CountyLIVINGSTON
CMS Certification Number265621
Certification TypeMedicare/Medicaid
Livingston Manor Care Center is administrated by Christina Redmond.
Owner NameLIVINGSTON MANOR, INC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Rehabilitation
Dementia Care
Private Medicare Hall
Private Rooms
Special Care Unit
Individualized Rehabilitation Programs
Social Programs And Activities
ActivitiesMonthly activity calendar provided to residents.
Specific ProgramsNursing Services, Rehabilitation Services, Dementia Care, Social Services, Activities
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
7
Missouri average 6.6
Last Health inspection on Aug 2025
Total health citations
44
Missouri average 36.5
Citations per inspection
6.29
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
37 of 44 citations resulted from standard inspections; and 7 of 44 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
2 critical citations
0 serious citations
42 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 21, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 21, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 21, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 21, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 02, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 02, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 05, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 05, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Livingston Manor Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Chillicothe
94
34.3%
-49%
3.41
-9%
1
44
6.3
2
38
-
-
Livingston Manor Inc
$2.7M
$1.6M
58.2%
265621
Good Shepherd Care Community
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
95
Employees
82
Contractors
13
Staff to resident ratio
3.06:1
79% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
15
Average shift
8.5 hours
5% better than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
11,580
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
56
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.8%
322 contractor hours this quarter
Speech Language Pathologist: 4
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Occupational Therapy Assistant: 1
Physical Therapy Assistant: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 56 | 0 | 56 | 6,399 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 9 | 0 | 9 | 1,427 | 88 | 97% | 9 |
| Nurse Aide in Training | 4 | 0 | 4 | 1,065 | 66 | 73% | 9.3 |
| Nurse Practitioner | 2 | 0 | 2 | 950 | 71 | 78% | 9.8 |
| Dietitian | 1 | 0 | 1 | 570 | 61 | 67% | 9.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 403 | 59 | 65% | 6.8 |
| Registered Nurse | 5 | 0 | 5 | 252 | 30 | 33% | 8.2 |
| Medication Aide/Technician | 2 | 0 | 2 | 170 | 14 | 15% | 11.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 157 | 60 | 66% | 2.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 67 | 36 | 40% | 1.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 37 | 17 | 19% | 2.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 32 | 17 | 19% | 1.9 |
| Administrator | 2 | 0 | 2 | 23 | 3 | 3% | 7.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| Qualified Social Worker | 0 | 1 | 1 | 9 | 7 | 8% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 5 | 2 | 2% | 2.3 |
56 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
97%
4 Nurse Aide in Training
% of Days
73%
2 Nurse Practitioner
% of Days
78%
1 Dietitian
% of Days
67%
1 Mental Health Service Worker
% of Days
65%
5 Registered Nurse
% of Days
33%
2 Medication Aide/Technician
% of Days
15%
2 Physical Therapy Aide
% of Days
66%
4 Speech Language Pathologist
% of Days
40%
3 Respiratory Therapy Technician
% of Days
19%
1 Physical Therapy Assistant
% of Days
19%
2 Administrator
% of Days
3%
1 Occupational Therapy Aide
% of Days
3%
1 Qualified Social Worker
% of Days
8%
1 Occupational Therapy Assistant
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
31 residents
Residents by payment source
Medicare
3 residents (9.7%)
Medicaid
21 residents (67.7%)
Private pay or other
7 residents (22.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
6% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
15% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.9%
Percent of long-stay residents whose need for help with daily activities has increased
22.9%
16% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.1%
Percent of long-stay residents whose ability to move independently worsened
18.1%
12% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
44% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
106% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
6% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
69% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.1%
Percent of long-stay residents who lose too much weight
3.1%
45% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
63.9%
Percent of long-stay residents who received an antipsychotic medication
63.9%
190% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
50% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
17.9%
Percent of short-stay residents who newly received an antipsychotic medication
17.9%
706% worse than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$114K
57% higher than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$114K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 26, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 26, 2024
$114K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Livingston Manor Care Center based on CMS SNF Cost Reports.
Occupancy Rate
34.3%
↓ 5.8pp vs 2023
Net Income
-$537.4K
↓ ~$240.9K vs 2023
Total Payroll
$2.0M
↓ ~$14.4K vs 2023
Profit Margin
-19.9%
↓ 10.7pp vs 2023
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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